13235 SW CHIMNEY RIDGE STREET LA
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BUILDING DEPARTMENT, TIGARD
MILWAUKIE RUMBING PLUMBING PERMIT •
P. 0. BOX 393
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� ��;=_._ .__� , holder of a valid plumbing contractors license is hereby
authorizto cause bi
pfiimng work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notifind not lees than four
(4) hours pric to the time the installations are ready for inspection. City of Tigard 'susiness License required
for all cgntractors and sub-contractors. -ob `!�'_ 2T
Owner_ _ 4'idressDat
NUN'3ER OF V TOTAL
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT
RUICENTTIAL s
Sin le Fam'w-1 bath-each '- 25.00 D u�r rrLis
5}Guolax-Each 1 bath unit 25,00 r it
Additional bathrooms each 10.00 OG �•'
Mobile Home Space-each
INOIVIUU_-%L FIXTURES OMMERCIA �_ `___� _ _ �_ •
1 to 50 Fixturea In 1 builoin -each 3.00 Y.
- 51 to 100 Fixtures in 1 building-each 2.50
101 to 2U0 Fixtures in 1 building-each 2.00
201 or morn. Fixtures in 1 baildin -each 1.50 _ ..-
�,tISCELLANEOUS
Sewer--each additional 100 ft. 10.00
—'Nater Service to building r, 5.00
PERMIT
l �go for Plumbing Inspe.-fion Phone F39-4171 ' ^�
4 .State T F Plumbing Contractor 8th
'rr'.TAt R1or'cIGT Nld'1 leci�arl Rv ��-- !
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ITy TICARDUATe-A., .2a
3UILDING PUMIT APPLICATICH 1LI F N9 351
UND1:14c"GN- F D MAO:BY APPLIES r OR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER Pi-�Nr
OR AS SHAW , AND Ariviwlm IN THE ACCOMPANYING PLAINS AND SPECIFICATIONS. OWNER PP,'3 I AI�r"fie_
LOT NO
ADORE 41OME ADDRESS
ARCHITECT
ENGINEER
DESIGNER
lid, 4--MC� AbDREss TOSS'%r-Aw, 7v%4N'Ay/."4Ay
VRE N—_KNEW OPFMOOEL OADDITION OR PAIR ORENFWAL OFIRE D A%;E' C306MOL11ION
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r11)ENCF COMM QEDUCA11ONAL C)GOV-7 ORELIGIOUS4P TfO !.']CAR PORT 0GARAGE 0 STORAGE 0 SLAB [3FFNCE
' NOITIONAL USE CIDESI N REVIEW OCOUNCIL APPROVEM 0SIGNS
!#0114D MOVING OrO
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_LANQ USE ZONE Q 8 G TYPF _=,_F4F ZONE. PLAN CHECK
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THIS PERMIT Ig t951'FD -SUBJECT T THE REGULATIONS CONTAINED IN THE BUILDING CODE, TONIN,,
'I:. . Check 6150 REGULATIONS AND ALL APPLICAOUP ;ODES AND ORDINANCEC, AND IT IS HEREBY AjGHEEO THAT THI
WORK WILL BE DONE IN ACCORDA!.}E WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
ALL APPLICA"ILE CODES AND ORDINANCES. THF ISSUANCE. Or THIS PERMIT 0OFS NOT WAIVE
RUSTAICTIVF COVINANIS, CONTRACTOR ANO SUR CONTRACTORS TO HAVE CURRENT CITY f4L41NF,,,,
,iop Tax LICENSE. SEPARATL PERMITS REOUIRFO -DR StWt A, PLUMBING AND HEATING.
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-- ----- - __-- Sionature of Applicant
Mechanical Permit NO.
Kew Installation � Replace C� Relocation E] Addition E] Alterition Q DATE:
HEATING
CONTRACTOR SU--Jc F Fc'c,� �s Fir/r+% _ OWNER
ADnRESS.. /.) ?o,r JwMr-:.... /lc� j��'��../„n'_ J013 ADDRESS. Z_/��l ✓t^J f�i.r -��,,�(' � .
PHONE _3 APPLICANT_ -a:e—;L 1 -1*
Heat Inf.,st Rating(BTU per Hour) _400 v`•` r3-1-j Vent Size S Flue Siv______(Qz_ ,
FUEL OIL[] GAS Q ELECT OTHER
Il EM —~ � NOT FEE i i EM - NO. FEE
For Issuance of Permit _ SE! BELOW _ E,ch Air Handling Unit or Duct System _ 750
New-up to & inrl. 100,000 B'I.: Commercial Hood System 7.50
New 100,000 Bl1T's & over 7.50 Other Egui�ment - Each 4.50 '
Woodburning Stove 4.50 1 Trip Inspection
Wall-Floor- Suspended 6.00 Air_Condition Compressor -up to&_incl.3 H.P. 6.00_
Vent System w/Fan 4.5_0 Air Condition."om n;sor-3.1 to 15.H.P.incl. 11.GU
i;e air_Heat Couling 6.00
CITY BUSING S5 LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! ! _
PERMIT ISSUANCE 10.00 Comments:
FEES _'.'. --------
_jk 9G STATE — Issued By-
25%PLAN CHECK